Matt Mooradian,Psy,D. P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20040803 Issued in IN

Legal business name

MATT MOORADIAN,PSY,D. P.C.

Practice address

9245 Calumet Ave
Suite 102
Munster, IN 46321-2821

Phone

(219) 836-3101

NPI assigned

Jun 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matt MooradianNPI 1487768982

Title

Psychologist

Phone

(219) 836-3101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matt Alan Mooradian, PSY.D.

  • Clinical Psychologist
  • Munster, IN
  • NPI 1487768982
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1275794869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 CALUMET AVE",
            "address_2": "SUITE 102",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 CALUMET AVE",
            "address_2": "SUITE 102",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212821",
            "telephone_number": "219-836-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT MOORADIAN,PSY,D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "MOORADIAN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "219-836-3101",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamad Martini, M.D.
• Wisam Martini, MD
• Gardenia Mason, LMFT
• Fardad Massoumi Bavil, MD
• Camille Matasovsky
• Linda D Matthew-Kuehn
• Laura Matthews, LMHC
• Anastasia Georgene Mavros, BSN-RN
• Maximum Home Health Care, Incorporated
• Maximum Hospice & Palliative Care, Inc.

• Clinical Psychologist in Munster, IN
• Providers in Munster, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.